151 Valhalla TrlDavie Countv, NC
i
Tax Parr.Pl RPnnrt
Tuesdav, October 11, 2016
Parcel Number:
NCPIN Number:
Account Number: ,
Listed Owner 1:
Mailing Address 1:
City: MOCKSVILLE
State:
WAK1VllV(i: 'l�tll� 15 1VU'i� A JUKVL+ Y
Parcel Information
L400000040 Township:
5736355800 Municipality:
18256400 Ce�sus Tract:
COX CHARLES E Voting Precinct:
151 VALHALLATRAIL Planning Jurisdiction:
Zoning Class:
NC Zoning Overlay:
Zip Code: 2702&0000 Voluntary Ag. District:
Legal Description: 4.80 AC OFF DANIEL RD Fire Response District:
Assessed Acreage:
Deed Date:
Deed Book / Page:
Plat Book:
Plat Page:
Building Value:
Land Value:
Total Assessed Value:
9"��'�' Davie County,
`'��N�� NC
4.86 Elementary School Zone:
1/1993 Middle School Zone:
001720037 Soil Types:
Flood Zone:
Watershed Overlay:
124130.00 �utbuilding 8� Extra
Freatures Value:
36830.00 Total Market Value:
196790.00
Jerusalem
37059-807
COOLEEMEE
Davie County
DAVIE COUNTY R-A
DAVIE COUNTY CZOD
JERUSALEM
COOLEEMEE
SOUTH DAVIE
Gn62,GnC2
DAVIE COUNTY
35830.00
196790.00
No
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- � • ' DAVIE COUNTY HEALTH DEPARTMENT --r—
-_- -��� IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION �
*Note: Issued in Compliance with G.S. of North Carolina Chapter 130—Article 13c. �
�� / Permtt Number
Name ��C �i)�'� J (,�'�''.1.�fi.l� Date .����// •���•` ��� ��`��
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LOC8tl0� `il !�i';r.. , r� � `�` - ..�r./:�� /t�.
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Subdivision Name Lot No. Sec. or Block No. ;
Lot Size - House . Mobile Home ��Business Speculation �
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No. Bedrooms � No. Baths � No. in Family �
Garbage Disposal YES �p NO p� ,
Specifications for System: ,
Auto Dish Washer YES p NO �p � � � �'�r��!�s�.f�• J�
, Auto Wash Machine YES ❑i N,O �p � � ��� �_� .�/�_"_ � rt��� ;
Type Water Supply //J/�/�� �•(%O �-�' li ✓ ..'� ��Ir i
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`This permit Void if sewage system described below is not installed within 36 months from date of issue. �
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Improvements permit by --" �
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'Contact a representative of the Davie County Health Department for final inspection of this system between 8:30- i
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985. i
Final Installation Diagram: System Installed by ���_•��_ 5�T. C.�. (T� I
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Certificate of Com letion �.• `��`��►fJ•- Date 3` °1��� I
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•The signing of this certificate shall indicate that the system described� above has been installed in compliance with �
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that t he system wi l l function
satisfactoril.y_for any given period..of time. � '
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ON-SITE WASTEWATER CERTIFICATION FOR DWELLING
(Check One) Replacement Remodeling Reconnection
Name: � G.,r �e.S l..o �c Phone Number ,3 3�O -'�1 7 �-%'�1 S Z (Home)
Mailing Address: /$/ 1%a.��u. j (� �a; � .'3 ,3 6 - 9 � / - % q �.S (Work)
i'Yl o c�s v i �� e. � N C 2,n 2.X�
Detailed Directions To Site: �c � � S. 'i�mr r n r i��1�" h�n M e C,, l lo� 4. Ra T�r� � t p h�- or�
I�c.r�i�� �oi '�4�OfoY Z M. Tvrr� Y��a�1'�' hY1 l.��r 1—'�t rt�rr� I7are. rC�,�'�'
��n Vo..l he., t 1�.., i'v o,; l( d; ��4 A�l� i S} %ovse o v� ie �{'
PropertyAddress: /5! Va.l hall4 "'r�q; I
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: � lJ {�iG�%VL' Type Of Facility: R�SIdr_r.�':c.. ��()o„b W;��,)
Date System Installed (Month/Date/Year): /��� Number Of Bedrooms: 3 Nurr►ber Of People: .3
Is The Facility Currently Vacant? Yes No If Yes, For How Long?
Any Known Problems? Yes I� If Yes, Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Faciliry:�e5 idl.ey..��4.� 1^flo�lv�o.r i�ow�� Number Of Bedrooms: 3 Number of People_�
Requested By: \,Q.,e„LJ1�„_� Co�r Date Requested: [- S- l O
(Signatwe)
'"�`'`'`� , For Environmental Health Office Use Only
�.Approved 6 Disapproved
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C'�'�'_
Environmental Health Specialist
Date: //J//�
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*The signing of this form by the Environmental Health Staff"is in no way intended, nor should be taken as a guarantee
(extended or limited�.that the on-site wastewater system will function properly for any given period of time.
Payment: Cash Check✓ Money Order # ,'�(/S� Amount:$ Uv�i�U Date: �•- ?l�/U
Paid By: l� � l�� � Received By:�_�� /J;/�'J(�(
Account #: �%�'Z� Invoice #: �%%�G'.3